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Massachusetts rates for HCPCS 42825

Tonsillectomy, primary or secondary; younger than age 12

Facilitymedian $3,631 · 10th–90th $363–$6,0260%10%10th90th$3,631Professionalmedian $372 · 10th–90th $251–$1,0230%10%10th90th$372$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $3,715.35 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $354.81 / $1,071.52
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $4,677.35 / $33,884.42
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $416.87 / $1,995.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $3,311.31 / $3,311.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $912.01 / $5,623.41
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $398.11 / $724.44
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $354.81 / $3,311.31
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $323.59 / $489.78
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $3,801.89 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $446.68 / $691.83
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $4,677.35 / $5,623.41
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $467.74
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $4,677.35 / $33,884.42
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $416.87 / $1,995.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $3,548.13 / $10,715.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $416.87 / $794.33